Philip Anthony Conifer, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60967228 Issued in WA

Practice address

1617 Grove St
Marysville, WA 98270-4301

Phone

(877) 522-1275

NPI assigned

Apr 16, 2018

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1568959542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 W GAGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368108",
            "telephone_number": "509-524-9903",
            "fax_number": "888-745-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704301",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIFER",
        "first_name": "PHILIP",
        "middle_name": "ANTHONY",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60967228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulaese Collins, M.S., M.H.P.
• Ana Elisa Colmenero Gargari
• Kristin A. Colonna, O.D.
• Stephanie Rae Colunga
• Gabriel Allen Compton, L.M.P.
• Shannon Connelly
• Chelsea Jo Conrad, LMT
• Lisa A Cook
• Stephen Cooley, O.D.
• Bobbi Yvonne Cooper, LMP

• Addiction (Substance Use Disorder) Counselor in Marysville, WA
• Providers in Marysville, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.